Individual
KRYSTAL RAIN BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
52 N HURON ST, YPSILANTI, MI 48197-2608
(313) 467-0083
Mailing address
719 W MICHIGAN AVE, YPSILANTI, MI 48197-5316
(313) 467-0083
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501012042
MI
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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